2010 GRAND NATIONAL RALLY REGISTRATION FORM MISTY RIVER CAMPGROUND WALLAND TN July 21 to 25th 2010 NAME____________________________________________________________please print clearly ADDRESS________________________________________________________________________ CITY____________________________________________ZIP_______________________________ TELEPHONE_________________________________CELL PHONE__________________________ EMAIL ADDRESS___________________________________________________________________ I WILL BE ARRIVING ON _____________________________________________________________ I WILL BE DEPARTING ON____________________________________________________________ NUMBER OF ADULTS____________ CHILDREN_______________ AGES____________________ PETS_____________________ IN CASE OF EMERGENCY CONTACT NUMBER___________________________________________ CAMPER _________________________ SIZE_____________________________________________ SITE NUMBER YOU WERE ASSIGNED BY THE CAMPGROUND ___________ WE ARE REQUESTING THAT YOU DONATE A PRIZE TO THE PRIZE TABLE AS A SUGGESTION, PLEASE MAKE IT CAMPING TYPE ITEMS AND SCOTTY RELATED ITEMS ANYONE WISHING TO HELP WITH THE RALLY PLEASE CONTACT BEV BRAND REGISTRATION FEE IS 25 DOLLARS THIS WILL COVER THE COST OF PRIZES FOR THE CONTEST, FOOD FOR SUNDAY BREAKFAST ENTERTAINMENT, WOOD FOR CAMP FIRE YOU MUST RESERVE YOUR CAMP SITE THROUGH THE CAMPGROUND MISTY RIVER CAMPGROUND AT (1-877) 981-4305 info@mistyriverrv.com ANY QUESTIONS EMAIL BEV BRAND AT scottymom0077@yahoo.com MAIL YOUR REGISTRATION FORM AND REGISTRATION FEE (MAKE CHECKS PAYABLE TO KEVIN LAIRD) KEVIN LAIRD 1 POINTE WAY CARTERSVILLE GA 30120 |